| Sergio M Rodriguez, MD | |
|
1000 Health Center Drive, Mattoon, IL 61938-9253 | |
| (217) 238-4325 | |
| (217) 238-4320 |
| Full Name | Sergio M Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1000 Health Center Drive, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326276486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125057170 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036-131222 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 036-131222 (Illinois) | Secondary |
| Entity Name | Butler Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982056545 PECOS PAC ID: 6608164561 Enrollment ID: O20161007001160 |
| Mailing Address | Practice Location Address |
|---|---|
| Sergio M Rodriguez, MD 1000 Health Center Drive, Mattoon, IL 61938-9253 Ph: (217) 238-4325 | Sergio M Rodriguez, MD 1000 Health Center Drive, Mattoon, IL 61938-9253 Ph: (217) 238-4325 |
John Rogers, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 | |
Richard Do Nguyen, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-235-4325 Fax: 217-238-4290 | |
Timothy R Hemp, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Arnold V Agapito, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525 Fax: 217-258-2216 | |
Manas Upadhyaya, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 | |
Dr. Jamil Rafik Yasin, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-4325 Fax: 217-348-4290 | |
Dr. Joseph P. So, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-238-4320 |